Esophagogastroduodenoscopy Procedure in Sick Pediatric Patients: A Comparison between Deep Sedation and General Anesthesia Technique

Somchai Amornyotin, Siriporn Kongphlay
  • Journal of Anesthesia & Clinical Research, January 2012, OMICS Publishing Group
  • DOI: 10.4172/2155-6148.1000185

Esophagogastroduodenoscopy in Sick Pediatric Patients: Deep Sedation VS General Anesthesia

What is it about?

To compare and evaluate the clinical efficacy of deep sedation and general anesthesia for esophagogastroduodenoscopy (EGD) in sick pediatric patients (ASA physical status ≥ III) in a tertiary care teaching hospital in Thailand.

Why is it important?

101 sick patients underwent EGD procedure during the study period. Premedications were none prior to the procedure. After matching age, gender, weight and indications of procedures, there were 51 patients in group DS and 27 patients in group GA. There were no significant differences in age, gender, weight, ASA physical status and indications of procedures. However, the duration of anesthesia in group GA was significantly longer than in group DS (p= 0.004).All DS and GA techniques were used successfully in all but one in group DS. Mean dose of propofol and fentanyl in both groups was comparable. Overall complication rate in group DS was significantly higher than in group GA (p= 0.039). However, there were no significant differences in the sedation and procedure related complications, anesthetic personnel and mortality rate.

Perspectives

Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

In the setting of the developing country, DS and GA for EGD in sick pediatric patients by experienced anesthesiologist with appropriate monitoring were relatively safe and effective. Serious adverse events were rare in our population.

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http://dx.doi.org/10.4172/2155-6148.1000185

The following have contributed to this page: Somchai Amornyotin